Chromosomal abnormalities in embryos derived from testicular sperm extraction

To compare the rate of chromosome abnormalities in embryos obtained from karyotypically normal patients with nonobstructive azoospermia undergoing testicular sperm extraction (TESE) to those from patients undergoing intracytoplasmic sperm injection (ICSI) with ejaculated sperm. Retrospective analysi...

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Veröffentlicht in:Fertility and sterility 2003, Vol.79 (1), p.30-38
Hauptverfasser: Silber, Sherman, Escudero, Tomas, Lenahan, Kathleen, Abdelhadi, Iman, Kilani, Zaid, Munné, Santiago
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container_end_page 38
container_issue 1
container_start_page 30
container_title Fertility and sterility
container_volume 79
creator Silber, Sherman
Escudero, Tomas
Lenahan, Kathleen
Abdelhadi, Iman
Kilani, Zaid
Munné, Santiago
description To compare the rate of chromosome abnormalities in embryos obtained from karyotypically normal patients with nonobstructive azoospermia undergoing testicular sperm extraction (TESE) to those from patients undergoing intracytoplasmic sperm injection (ICSI) with ejaculated sperm. Retrospective analysis. IVF centers. Male partners had either nonobstructive zoospermia or oligospermia. Preimplantation genetic diagnosis. Chromosome enumeration was performed by fluorescence in situ hybridization (FISH). Embryos classified as abnormal were reanalyzed to study mosaicism. Chromosome abnormalities in embryos. Embryos from ICSI cycles with ejaculated sperm (group 1) were 41.8% normal, 26.2% aneuploid, and 26.5% mosaic. In contrast, the embryos from ICSI cycles with TESE for nonobstructive azoospermia (group 2) were 22% normal, 17% aneuploid, and 53% mosaic. The difference in mosaicism rate between the two groups of embryos was highly significant. The present study results indicate a high incidence of mosaicism in embryos derived from TESE in men with a severe deficit in spermatogenesis. Sperm derived from TESE for nonobstructive azoospermia may have a higher rate of compromised or immature centrosome structures leading to mosaicism in the embryo.
doi_str_mv 10.1016/S0015-0282(02)04407-2
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source MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Aneuploidy
Biological and medical sciences
chaotic
Chromosome Aberrations
Humans
In Situ Hybridization, Fluorescence
Male
Medical genetics
Medical sciences
Mosaicism
Oligospermia - therapy
PGD
Preimplantation Diagnosis
preimplantation genetic diagnosis
Retrospective Studies
Sperm Injections, Intracytoplasmic
Spermatozoa
Testis - cytology
Tissue and Organ Harvesting - methods
title Chromosomal abnormalities in embryos derived from testicular sperm extraction
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